Clinical Aspects of Total Colectomy. Laparoscopic Versus Open Technique for Familial Adenomatous Polyposis and Ulcerative Colitis.

Laparoscopic total colectomy for colorectal cancers: a comparative study

“…The average operative time for laparoscopic total colectomy is reported to range between 187 and 358 min in Western series, which is shorter than our operative time [2,[7][8][9][10]. There are several explanations for this discrepancy.…”

“…Studies comparing laparoscopic and open total colectomy for benign colorectal diseases have shown a shorter hospital stay and a lower morbidity rate for the laparoscopic group, but at the expense of a much longer operative time [2,9,10]. Because of the small sample size, our study cannot demonstrate any significant differences in postoperative recovery parameters, perioperative morbidity and mortality rates, between the two groups.…”

“…Both procedures require advanced technical skills, and the learning curve is long. Most reported series in the literature came from the West, and comprise benign colorectal diseases, including inflammatory bowel disease and familial polyposis syndrome, the most common indications [2,[7][8][9][10]. The current study is unique because we included a homogeneous group of patients with malignant colorectal diseases.…”

Laparoscopic colectomy and restorative proctocolectomy for familial adenomatous polyposis

“…Laparoscopic colectomy with IRA has been proven to be a safe and minimally invasive treatment option for selected patients with FAP [4,[18][19][20][21], and recent data confirm similar results in patients with colorectal cancer [6][7][8]22]. This is an important consideration because it is not infrequent that patients with FAP can have already developed an undetected cancer at the time of surgery, particularly if the age is older than 25 years.…”

Gasless laparoscopic surgery for ulcerative colitis and familial adenomatous polyposis

“…In addition, there have not been any reports of significant complications following laparoscopic total (procto) colectomy in these patients. Despite these facts, we consider that operation without pneumoperitoneum is beneficial, especially for UC patients, who are commonly compromised because of long-term steroid use [1].…”